Main themes and subthemes
| Theme | Subtheme | Participant classification | ||
|---|---|---|---|---|
| No Change – Always Attend | Positive Change – Lapsed Attendance | No Change – Lapsed Attendance | ||
| Past cervical screening | ||||
| Barriers | Access – time, appointments | ✓ | ✓ | ✓ |
| Embarrassment | ✓ | ✓ | ||
| Procedure – uncomfortable, painful | ✓ | ✓ | ✓ | |
| Fear, guilt | ✓ | ✓ | ||
| Not a priority – family, work commitments | ✓ | |||
| Knowledge – lack of information | ✓ | |||
| Facilitators | General prevention beliefs | ✓ | ||
| Cancer awareness | ✓ | |||
| Family/friend cancer history | ✓ | ✓ | ||
| Aging | ✓ | ✓ | ||
| Encouragement from significant others – own mother, husband | ✓ | ✓ | ||
| Opportunistic screening – postnatal check-up | ✓ | |||
| Time available | ✓ | |||
| Jade Goody | ✓ | ✓ | ||
| Daughters’ HPV vaccination | ||||
| Information provision | Consent form/invitation letter | ✓ | ✓ | ✓ |
| Department of Health leaflets – received | ✓ | ✓ | ✓ | |
| Would have been useful | ✓ | ✓ | ||
| Own research carried out: | ✓ | ✓ | ||
| Internet | ✓ | ✓ | ||
| Discussion with others (friends, family, health professionals) | ✓ | ✓ | ||
| Media – news, TV, magazines | ✓ | |||
| Knowledge | HPV link to cervical cancer | ✓ | ✓ | ✓ |
| Link to herpes/wart virus | ✓ | ✓ | ||
| Number of doses | ✓ | ✓ | ||
| Sexual transmission | ✓ | ✓ | ✓ | |
| Screening and vaccination interlinked | ✓ | ✓ | ✓ | |
| Purpose of screening – early detection of abnormalities | ✓ | ✓ | ✓ | |
| Barriers to vaccination consent | Not enough information on side effects | ✓ | ✓ | |
| Daughter fear of the needle | ✓ | ✓ | ||
| Lifestyle implications – sex | ✓ | |||
| Facilitators to vaccination consent | General prevention beliefs | ✓ | ✓ | ✓ |
| Cancer awareness | ✓ | ✓ | ✓ | |
| Family/friend cancer history | ✓ | ✓ | ||
| Free and available | ✓ | |||
| Part of a national programme | ✓ | ✓ | ||
| Others having it – follow the crowd | ✓ | ✓ | ||
| Youth promiscuity | ✓ | ✓ | ||
| Jade Goody | ✓ | ✓ | ||
| Mothers’ cervical screening history | ✓ | |||
| Vaccination discussion with daughter | Daughters’ concerns | ✓ | ✓ | |
| Cancer prevention | ✓ | ✓ | ||
| Family/friend cancer history | ✓ | ✓ | ||
| Jade Goody | ✓ | ✓ | ||
| Sex – safe sex, relationships, | ✓ | ✓ | ✓ | |
| Cervical screening | ✓ | ✓ | ✓ | |
| Influence of HPV vaccination on future cervical screening intentions | Reminder | ✓ | ||
| Realisation of sexual transmission of virus – reassessment of risk | ✓ | ✓ | ||
| Setting an example for daughter | ✓ | |||
| To be there for her family in the future | ✓ | |||
| Daughter now prompts mother for cervical screening | ✓ | ✓ | ||
| Learning about cervical screening from discussion with others | ✓ | ✓ | ||
HPV, human papillomavirus.